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Arthroscopic removal of the failed silicone radial head prosthesis

  • Elbow
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Although silicone radial head arthroplasty has been successful in many patients, it has been associated with complications such as fractures of the prosthesis and silicone synovitis. Synovectomy and removal of the failed silicone radial head, with or without reimplantation of a metallic radial head, is indicated in such complications. In an effort to perform minimally invasive surgery, we performed arthroscopic removal of the silicone head combined with synovectomy in a series of such patients. The silicone prostheses were cut into two or three pieces and then removed. After a median follow up of 26 months, all patients reported excellent pain relief and there were no residual loose bodies. Removal of a failed silicone radial head can be successfully performed arthroscopically. This arthroscopic technique has the advantage of being minimally invasive and can be combined with other procedures including capsulectomy, if necessary.

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References

  1. Carn RM, Medige J, Curtain D, Koenig A (1986) Silicone rubber replacement of the severely fractured radial head. Clin Orthop Relat Res 209:259–269

    PubMed  Google Scholar 

  2. Field LD, Patel MA (2007) Arthroscopic anterior and posterior capsular release. In: Yamaguchi K, King GJ, McKee MD, O’Driscoll SW (eds) Advanced reconstruction elbow. American Academy of Orthopaedic Surgeons, Rosemont, pp 77–83

    Google Scholar 

  3. Gordon M, Bullough PG (1982) Synovial and osseous inflammation in failed silicone-rubber prostheses. J Bone Joint Surg Am 64:574–580

    PubMed  CAS  Google Scholar 

  4. Horiuchi K, Momohara S, Tomatsu T, Inoue K, Toyama Y (2002) Arthroscopic synovectomy of the elbow in rheumatoid arthritis. J Bone Joint Surg Am 84:342–347

    PubMed  Google Scholar 

  5. King GJ (2007) Arthroscopic synovectomy of the elbow. In: Yamaguchi K, King GJ, McKee MD, O’Driscoll SW (eds) Advanced reconstruction elbow. American Academy of Orthopaedic Surgeons, Rosemont, pp 69–75

    Google Scholar 

  6. Mackay I, Fitzgerald B, Miller JH (1979) Silastic replacement of the head of the radius in trauma. J Bone Joint Surg Br 61:494–497

    PubMed  Google Scholar 

  7. Mayhall WS, Tiley FT, Paluska DJ (1981) Fracture of silastic radial-head prosthesis. Case report. J Bone Joint Surg Am 63:459–460

    PubMed  CAS  Google Scholar 

  8. Morrey BF, Askew L, Chao EY (1981) Silastic prosthetic replacement for the radial head. J Bone Joint Surg Am 63:454–458

    PubMed  CAS  Google Scholar 

  9. O’Driscoll SW (2006) Clinical assessment and open and arthroscopic surgical treatment of the stiff elbow. In: Jupiter JB (ed) The stiff elbow. American Academy of Orthopaedic Surgeons, Rosemont, pp 9–19

    Google Scholar 

  10. O’Driscoll S (2007) Arthroscopic osteocapsular arthroplasty. In: Yamaguchi K, King GJ, McKee MD, O’Driscoll SW (eds) Advanced reconstruction elbow. American Academy of Orthopaedic Surgeons, Rosemont, pp 59–68

    Google Scholar 

  11. O’Driscoll SW (2008) The arthroscopic treatment of the stiff elbow. In: Celli A, Celli L, Morrey BF (eds) Treatment of elbow lesions: new aspects in diagnosis and surgical techniques. Springer, New York, pp 211–219

    Chapter  Google Scholar 

  12. O’Driscoll SW (1992) Elbow arthroscopy for loose bodies. Orthopedics 15:855–859

    PubMed  Google Scholar 

  13. Savoie FHIII, Nunley PD, Field LD (1999) Arthroscopic management of the arthritic elbow: indications, technique, and results. J Shoulder Elbow Surg 8:214–219. doi:10.1016/S1058-2746(99)90131-3

    Article  PubMed  Google Scholar 

  14. Stoffelen DV, Holdsworth BJ (1994) Excision or Silastic replacement for comminuted radial head fractures. A long-term follow-up. Acta Orthop Belg 60:402–407

    PubMed  CAS  Google Scholar 

  15. Trepman E, Ewald FC (1991) Early failure of silicone radial head implants in the rheumatoid elbow. A complication of silicone radial head implant arthroplasty. J Arthroplasty 6:59–65. doi:10.1016/S0883-5403(06)80158-0

    Article  PubMed  CAS  Google Scholar 

  16. Vanderwilde RS, Morrey BF, Melberg MW, Vinh TN (1994) Inflammatory arthritis after failure of silicone rubber replacement of the radial head. J Bone Joint Surg Br 76:78–81

    PubMed  CAS  Google Scholar 

  17. Yamaguchi K, Tashjian RZ (2007) Setup and portals. In: Yamaguchi K, King GJ, McKee MD, O’Driscoll SW (eds) Advanced reconstruction elbow. American Academy of Orthopaedic Surgeons, Rosemont, pp 3–11

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Mayo Clinic, 200 First St SW, MSB3-69, Rochester, MN, 55905, USA

    Jun-Gyu Moon, Richard D. Southgate, James S. Fitzsimmons & Shawn W. O’Driscoll

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  1. Jun-Gyu Moon
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  2. Richard D. Southgate
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  3. James S. Fitzsimmons
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  4. Shawn W. O’Driscoll
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Correspondence to Shawn W. O’Driscoll.

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Moon, JG., Southgate, R.D., Fitzsimmons, J.S. et al. Arthroscopic removal of the failed silicone radial head prosthesis. Knee Surg Sports Traumatol Arthrosc 17, 1243–1248 (2009). https://doi.org/10.1007/s00167-009-0796-y

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  • DOI: https://doi.org/10.1007/s00167-009-0796-y

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